How much rates vary
Facilitymedian $1,318 · 10th to 90th $550 to $6,457Professionalmedian $1,202 · 10th to 90th $603 to $2,291
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | None | $549.54 | $549.54 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,348.96 Median $15,135.61 Typical High $34,673.69 | Facility | None | $1,348.96 | $15,135.61 | $34,673.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $18,197.01 Median $34,673.69 Typical High $61,659.50 | Facility | 50 · Both sides | $18,197.01 | $34,673.69 | $61,659.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,995.26 | Professional | None | $831.76 | $1,122.02 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,698.24 Typical High $2,951.21 | Professional | 50 · Both sides | $1,258.93 | $1,698.24 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,630.27 | Facility | None | $891.25 | $1,380.38 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,584.89 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,238.72 | Facility | None | $794.33 | $1,288.25 | $2,238.72 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,187.76 | Professional | None | $891.25 | $1,445.44 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,467.37 | Facility | None | $758.58 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $4,168.69 | Professional | None | $676.08 | $1,258.93 | $4,168.69 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $2,290.87 | Professional | None | $630.96 | $1,148.15 | $2,290.87 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | 54 · Surgery only | $407.38 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $64.57 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 6th of 51
$1,259
AK $2,239NY $575
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.